| NPI | 1487185500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TAFOR President 478-219-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0000X | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |